This bid is for third-party claims administration and actuarial services for an account at 601 Lakeside Ave, Cleveland, OH 44114.
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What the job is
Claims management: Ohio workers' compensation administration, liability reviews, investigations, reserves, medical and disability payment documentation, return-to-work coordination, and subrogation recovery.
Staffing and response: Ohio-licensed provider with a dedicated claims representative; initial claimant, employer, and medical provider contact within 48 hours or two business days.
Reporting: Monthly loss summaries and check logs, quarterly claims reviews and loss analysis, and 24/7 online access to claim files and payment records.
Integration and security: Ohio BWC and Industrial Commission connectivity, Origami Risk and Microsoft Teams integration, daily automated data feeds, annual unmodified SOC 1 Type II and SOC 2 Type II reports, AES-256 encryption at rest, and TLS 1.3 in transit.
Pricing: Provide fixed fees or hourly rates, separately identify one-time data conversion and reimbursable costs, and include routine administration and data analysis in the basic service fee.
Insurance: Minimum $5 million each for cyber liability and technology errors and omissions coverage.
XL Eagle